1649876418 NPI number — MAJESTIC VILLA ASSISTED LIVING

Table of content: (NPI 1649876418)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649876418 NPI number — MAJESTIC VILLA ASSISTED LIVING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAJESTIC VILLA ASSISTED LIVING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649876418
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5252 SW IDAHO ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97221-1617
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-740-6693
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8236 N 57TH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85302-5906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-594-7904
Provider Business Practice Location Address Fax Number:
623-691-7975
Provider Enumeration Date:
12/08/2020

Additional Information

Authorized Official

Authorized Official Last Name:
CARR
Authorized Official First Name:
KIRSTEN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
503-740-6693

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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